- Insurance Coverage
CalOptima Coverage
Resiliency Mind + Body Medicine® is proud to accept CalOptima Health insurance for mental health services in Orange County.
- Insurance
About CalOptima Coverage
Resiliency Mind + Body Medicine® is in-network with CalOptima Health, Orange County’s public health insurance plan. Members can access our psychiatric services including comprehensive evaluations, medication management, and select advanced treatments. Our team handles all benefits verification and prior authorization to ensure a smooth experience.
We know navigating insurance can feel overwhelming, especially when you are already struggling. That is why our team handles benefits verification and prior authorization for you, coordinating directly with your plan so you can focus on your care. Before your first visit, we will confirm your coverage and explain what to expect, so there are no surprises.
For most members, covered services have no out-of-pocket costs. Coverage for advanced treatments depends on medical necessity and your plan’s requirements, and our team will guide you through each step.
Care is available at both our Newport Beach and San Juan Capistrano clinics, with telehealth options for many follow-up appointments.
In
Network
- What's Covered
Covered Services
Psychiatric Evaluations
Comprehensive initial assessments and diagnostic evaluations.
Medication Management
Ongoing medication management and follow-up visits.
Deep TMS Therapy
Deep TMS with prior authorization for qualifying conditions.
Spravato
Esketamine treatment with prior authorization for treatment-resistant depression.
- Getting Started
How to Get Started
01
Verify Benefits
Call us at (949) 996-5355 or provide your CalOptima member ID. Our team verifies your coverage and benefits.
02
Prior Authorization
For Deep TMS and Spravato, we handle the entire prior authorization process with CalOptima on your behalf.
03
Schedule Your Visit
Once benefits are confirmed, we schedule your initial appointment at our Newport Beach or San Juan Capistrano office.
- Common Questions
Frequently Asked Questions
Do you accept other Medi-Cal plans?
Yes. In addition to CalOptima Health, we also accept Medi-Cal plans from Anthem, Blue Shield, Health Net, and Molina. Because benefits and requirements can vary by plan, contact our office to verify your specific plan and benefits before your first visit. We will confirm your coverage and explain any next steps.
Do I need a referral?
No, a referral is generally not needed for outpatient mental health care, and you can contact us directly to schedule. Some specialized services or health networks may have additional requirements, so our team will review your plan and let you know if a referral is needed.
Is Deep TMS covered?
Deep TMS may be covered with prior authorization for qualifying diagnoses, such as major depressive disorder when medications have not provided enough relief. Our team manages the entire authorization process, from gathering your treatment history to submitting documentation, so you do not have to navigate it alone. We will let you know once approval is received and help you schedule your sessions.
Have more questions? Contact our clinical team.
Ready to Use Your CalOptima Benefits?
Let our team verify your coverage and schedule your first appointment today.